Mary Chick, | |
2930 2nd Ave Ste 200, Marina, CA 93933-6244 | |
(831) 582-2100 | |
Not Available |
Full Name | Mary Chick |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2930 2nd Ave Ste 200, Marina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285194183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 201051 (California) | Primary |
Entity Name | Montage Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770710709 PECOS PAC ID: 6406901941 Enrollment ID: O20090904000027 |
Mailing Address | Practice Location Address |
---|---|
Mary Chick, 100 Wilson Rd Ste 100, Monterey, CA 93940-7885 Ph: () - | Mary Chick, 2930 2nd Ave Ste 200, Marina, CA 93933-6244 Ph: (831) 582-2100 |
Dr. Jessica S. Craig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 9th St, Marina, CA 93933 Phone: 831-884-1171 Fax: 831-884-1024 | |
Allison Kristi Musmanno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 299 12th St Ste A, Marina, CA 93933 Phone: 831-647-7652 Fax: 831-647-7940 | |
Kenneth J Gjeltema, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 2nd Ave, 200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-620-0304 | |
Dr. Jeffrey C Ettinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 2nd Ave Ste 200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-886-1529 | |
Dr. Nancy W Chang, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2930 2nd Ave, #200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-886-1529 | |
Deborah Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Reservation Rd, D, Marina, CA 93933 Phone: 831-971-8734 |